中药膏摩治疗老年骨质疏松症腰背疼痛的疗效  

Curative effect of Chinese herbal ointment and massage on lumbago and back pain in senile osteoporosis patients

作　　者：张元春[1] 赵翠萍[1] 靳文丽 张海燕 刘继宁 韩京晶 刘美霞[1] 刘征堂[1] ZHANG Yuanchun;ZHAO Cuiping;JIN Wenli;ZHANG Haiyan;LIU Jining;HAN Jingjing;LIU Meixia;LIU Zhengtang(Department of Geriatrics,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing,100091)

机构地区：[1]中国中医科学院西苑医院老年病科,北京100091

出　　处：《实用临床医药杂志》2023年第1期92-95,共4页Journal of Clinical Medicine in Practice

基　　金：国家重点研发计划项目(2020YFC2006103)。

摘　　要：目的 观察运用中药膏摩治疗老年骨质疏松症腰背疼痛的疗效。方法 将60例患者按照随机数字表法分为对照组和观察组,每组30例。对照组采用常规性护理措施,观察组在常规护理基础上联合中药膏摩法治疗,中药膏按摩1次/d,每次15 min,治疗12 d。比较2组治疗前后视觉模拟评分法评分、中医症状量表评分、生活自理能力量表评分和治疗总有效率。结果 与对照组比较,观察组视觉模拟评分法评分下降,中医症状量表中的四肢疼痛、腰背酸痛、下肢抽筋、持重困难、足跟疼痛5个维度症状评分均下降,生活自理能力量表评分升高,差异均有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论 中药膏摩可显著缓解骨质疏松症老年患者腰背疼痛,提高生活质量。Objective To observe the curative effect of Chinese herbal ointment and massage in the treatment of lumbago and back pain in senile osteoporosis patients. Methods A total of 60 patients were randomly divided into control group and observation group according to random number table method, with 30 cases per group. The control group was given routine nursing measures, and the observation group was given Chinese medicine ointment rubbing therapy on the basis of routine nursing, ointment rubbing was performed once a day, 15 min each time for 12 d. Visual Analogue Scale(VAS) scpre, TCM Symptom Scale score, Self-care Ability Scale score before and after treatment and total effective rate in the two groups were compared. Results Compared with the control group, VAS scores after 6 and 12 days of treatment in the observation group were lower, symptom scores of the five dimensions including limb pain, back pain, lower limb cramps, difficulty in carrying heavy objects and heel pain in the TCM Symptom Scale all decreased, while the Self-care Ability Scale score increased(P<0.05). The total effective rate of the observation group was higher than control group, and the difference was statistically significant(P<0.05). Conclusion Chinese herbal ointment and rub therapy can relieve lumbago and back pain in senile osteoporosis patients, and improve the quality of life.

关 键 词：原发性骨质疏松症 腰背疼痛 中药膏摩 老年 生活自理能力量表 中医症状量表 视觉模拟评分法 

分 类 号：R714.257[医药卫生—妇产科学] R441.1[医药卫生—临床医学]